Individual
BRIAN MATTSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10441201-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538564653
—
UT
Enumeration date
10/31/2014
Last updated
02/12/2020
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